Health Application (1)
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Nov 24, 2024
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Healthcare Informatics – Technical Infrastructure, Interoperability and Global/ Public Health
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Healthcare applications are application programs that provide services that are health
connected for tablet PCs and smartphones. This is because they are available to patients at home.
These healthcare applications include Electronic Health Records, Remote Patient Monitoring and
Hospital Management systems. These health applications can be abbreviated as EHR, RPM and
HMS, respectively. These healthcare applications are customized. For instance, EHR is
customized to offer the appropriate workflow and charting of your specialty. Therefore, this will
give the nurse and other staff members sufficient time and attention to their patients. On the other
hand, HMS is usually customized to regulate all hospital functions such as appointment booking,
drug management, patient information, patient medical history, billing, revenue management,
bed management and electronic medical record. At the same time, RPM is also customized to
gather secure health information from patients through an internet connection from any location
and electronically transfer it to healthcare givers for them to make evaluations and
recommendations. In healthcare setup, the payers are the institutions that set service rates,
process claims, collect payments and pay provider claims. These institutions include Medicare,
health plan providers and Medicaid. Some types of payers include commercial and private.
Configuration in interfacing, data sharing and reporting ensures that all small or large changes
are documented. The configuration also enables the users in interfacing, data sharing and
reporting to consistently define system settings and construct and maintain the systems as per
those baseline settings. The configuration also assists the users and administrators know where
particular services exist and the present state of applications.
Electronic Health Records
EHR is the most prevalent and essential sort of health care application. The EHR systems
are in a position to store patients' information such as laboratory test results, medical and family
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history and recommended prescriptions history. In EHR, the patient's health information can be
developed and managed by accredited users and then shared with other caregivers across more
than one healthcare institution. This automates and streamlines the providers' workflow because
they don't want to gather the same information from the same patient. Also, the providers are
able to improve the patient's care. Generally, EHRs are in a position to advance patient safety,
minimize errors and back up excellent patient outcomes
(Cowie et al., 2017)
. EHRs also
minimize the peril of data replication, losing information or crucial data concerning the patient's
health. EHRs are also cost-effective compared to paper medical records, which are at risk of
being duplicated, damaged or illegible over a long period. EHRs are responsible for keeping the
patient medication records and allergies and checking incorporated medication database when a
new medication is recommended to prepare the doctor to a latent allergy or fight. EHRs also
incorporate modules used for demanding payment and payment with billing data and a separate
portal for the patient to obtain their information. EHRs are utilized in hospitals and clinics and
are integrated with internal clinic/hospital management applications.
Remote Patient Monitoring
RPMs handle chronic and acute conditions, thus supporting clinicians to keep checks on
patients when in-patient care is not possible or in between clinic visits. RPM engages the use of
connected electronic tools to record individual medical and health information in one location
that a provider appraises at a different location. For long-term care, RPM enhances the clinician
to observe patients in near actual time, collect vital information and make adjustments to
advance care outcomes. This sort of progressive tracking is helpful for patients with ongoing care
needs like heart conditions, asthma, diabetes, mental illness and hypertension. RPM employs the
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utilization of different types of devices such as blood glucose meters, weight scales and heart
monitors.
Hospital Management System
HMS application offers information and management abilities to various stakeholders
available in the hospital. These stakeholders include the patients, administration, doctors and
authorized health care experts
(Adebisi et al., 2015)
. HMS incorporates two portals; one portal
for the patients and another with management-oriented elements. The patients' portal has to
encompass all admittance data, which is usually synced with EMR, digitalized patient
registration form, insurance, appointments, billing details, notifications concerning admittance
and all meds and prescriptions data. The management portal incorporates all health and
administration data required by the hospital, such as room booking and schedule, food and
medicine management, doctor's schedule and organized appointments. HMS is in a position to
advance the overall productivity of the hospital, advance patients' encounters during any
interaction and streamline routines. HMS also enables the hospital to gather and scrutinize
valued information on all aspects of its event.
Types of Payers
Commercial Payers
This type of payer is defined as a publicly-traded insurance firm. These commercial
payers include Aetna, Cigna, and United Healthcare. There are more than 900 health insurance
firms that are operating in the United States. Commercial payers comprise 34.4% of public
health care.
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Private Payers
This kind of payer is defined as a private insurance firm. They include Blue Cross Blue
Shield. These private payers comprise 67.3% of private healthcare. There are numerous private
insurance firms in the United States. Every firm offers different sorts of plans that are obligated
to meet or exceed basic canons postulated by the federal or state government. In private payers,
the health insurance plans can differ
(Dieleman et al., 2020)
. Generally, lower-cost health care
plans provide patients with scarcer choices in hospitals and doctors. Lower-cost plans make it
harder for the patients to see a professional. Some types of health plans include point of service,
health care organization, fee for service and the ideal provider organization.
Payers can affect healthcare on a global basis. For instance, payers play a crucial role in
providing patients with the health insurance cover required to acquire vital health care services.
Most times, the insurance beneficiaries can pay monthly or yearly insurance plans so as to obtain
cover within a range of particular procedures and services. Every time a health care giver
submits a medical claim to a payer so as to obtain recompense for a specific service, they create
information concerning that care experience. Suppliers, providers and other stakeholders in the
health care industry can utilize this all-payer medical entitlements information to access
supportive intuitions about provider referral patterns, diagnoses, co-morbidities, network
affiliations and prescription volumes. On the other hand, healthcare applications also affect
healthcare positively. For instance, information technology grants multiple chances for
improving and transforming healthcare, such as advancing clinical outcomes, minimizing human
errors, expediting care coordination, tracing data over time and advancing practice effectiveness.
Therefore, health applications have impacted the healthcare sector by improving patient's safety
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by minimizing medical errors, improving compliance to practice directives and minimizing
adverse drug reactions.
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References
Adebisi, O. A., Oladosu, D. A., Busari, O. A., & Oyewola, Y. V. (2015). Design and
implementation of hospital management system.
International Journal of Engineering
and Innovative Technology (IJEIT)
,
5
(1).
Cowie, M. R., Blomster, J. I., Curtis, L. H., Duclaux, S., Ford, I., Fritz, F., ... & Zalewski, A.
(2017). Electronic health records to facilitate clinical research.
Clinical Research in
Cardiology
,
106
(1), 1-9.
Dieleman, J. L., Cao, J., Chapin, A., Chen, C., Li, Z., Liu, A., ... & Murray, C. J. (2020). US
health care spending by payer and health condition, 1996-2016.
Jama
,
323
(9), 863-884.